QUANTIFICATION OF MITRAL REGURGITATION - COMPARISON BETWEEN TRANSTHORACIC AND TRANSESOPHAGEAL COLOR DOPPLER FLOW MAPPING

被引:4
作者
MIMO, R
SPARACINO, L
NICOLOSI, GL
DANGELO, G
DALLAGLIO, V
LESTUZZI, C
PAVAN, D
CERVESATO, E
ZANUTTINI, D
机构
[1] ARC, Ospedale Civile, Pordenone
来源
ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES | 1991年 / 8卷 / 06期
关键词
MITRAL REGURGITATION; COLOR DOPPLER ECHOCARDIOGRAPHY; TRANSESOPHAGEAL ECHOCARDIOGRAPHY;
D O I
10.1111/j.1540-8175.1991.tb01023.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We reviewed transthoracic (TTE) and transesophageal (TEE) echocardiograms of 100 consecutive patients: 63 male, 37 female, mean age 50 years (range 16-83 years), 32 with neoplastic disease, 18 aortic disease, 28 mitral valve disease, and 22 with other diseases. Absence or presence of mitral regurgitation (defined as mild, moderate, or severe) was assessed. TEE showed mild mitral regurgitation in 26 patients where TTE was negative. The overall estimate of regurgitant lesion severity was concordant at TEE and TTE in 64% of cases. The overall estimate of regurgitant lesion severity was also greater by one grade in 1% of cases at TTE, and in 35% of cases at TEE. Maximal digitized jet areas were 3.60 +/- 6.35 cm2 at TTE and 3.04 +/- 3.79 cm2 at TEE (P = NS). Correlation was r = 0.69 (TEE = 0.41 TTE + 1.55; P < 0.001). TEE yielded a higher prevalence of mitral regurgitation than TTE with a trend toward greater overall estimate of mitral regurgitation at the semi-quantitative analysis. TTE and TEE showed similar mean results at the quantitative assessment of maximal jet areas. However, a highly significant random variability was observed in quantifying mitral regurgitation at TEE.
引用
收藏
页码:619 / 626
页数:8
相关论文
共 26 条
[1]  
Perry GY, Nanda CN, Recent advances in color Doppler evaluation of valvular regurgitation, Echocardiography, 6, (1987)
[2]  
Grayburn PA, Pryor SL, Levine BD, Et al., Day to day variability of Color Doppler flow jets in mitral regurgitation, J Am Coll Cardiol, 14, (1989)
[3]  
DeMaria AN, Spain MG, Garrahy P, Et al., Considerations in the quantitation of color Doppler flow imaging, Echocardiography, 6, (1987)
[4]  
Cooper JW, Nanda NC, Philpot EF, Et al., Evaluation of valvular regurgitation by color Doppler, J Am Soc Echocardiogr, 1, (1989)
[5]  
Perry GJ, Nanda CN, Diagnosis and quantitation of valvular regurgitation by color Doppler flow mapping, Echocardiography, 6, (1986)
[6]  
Yoshida K, Yoshikawa J, Shakudo M, Et al., Color Doppler evaluation of valvular regurgitation in normal subjects, Circulation, 4, (1988)
[7]  
Dumesnil JG, Regurgitation mitrale, tricus‐pidienne et aortique. Diagnostic et quantification, Ann Cardiol Angiiol, 37, (1988)
[8]  
Bolger AF, Eigler NL, Mauer G, Quantifying valvular regurgitation. Limitations and inherent assumptions of Doppler techniques, Circulation, 78, (1988)
[9]  
Helmcke F, Nanda NC, Hsiung M, Et al., Color Doppler assessment of mitral regurgitation with orthogonal planes, Circulation, 75, (1987)
[10]  
Dall'Aglio V, D'Angelo G, Moro E, Et al., Inter‐observer and echo‐angio variability of two‐dimensional colour Doppler evaluation of aortic and mitral regurgitation, Eur Heart J, 10, (1989)